Physician Compare National (NPI:1154543221)

HEALTHCARE PROVIDER: SAMUEL SANCHEZ RIVERA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154543221
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779675806
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070822000212
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SANCHEZ
	Individual professional last name
Provider First Name	SAMUEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	DERMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	200 GRAND BLVD LOS PRADOS
	Group Practice or individual's line 1 address
City	CAGUAS
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	007279507
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y